Individual
CAROL PANEK-ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 NE 46TH ST, KANSAS CITY, MO 64116-2042
(816) 413-6064
Mailing address
2000 NE 46TH ST, KANSAS CITY, MO 64116-2042
(816) 413-6064
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
361830
MO
Other
Enumeration date
03/10/2009
Last updated
03/10/2009
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